Provider Demographics
NPI:1144671165
Name:MCNAMARA, MARY
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5353 SUNOL BLVD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-7607
Mailing Address - Country:US
Mailing Address - Phone:925-931-5381
Mailing Address - Fax:925-931-3499
Practice Address - Street 1:5353 SUNOL BLVD
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-7607
Practice Address - Country:US
Practice Address - Phone:925-931-5381
Practice Address - Fax:925-931-3499
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker